MEDCTR INC


Address: 465 N Belair Rd, Suite 1a, Evans, GA 30809-3188
Phone: 7068542424

MEDCTR INC (NPI# 1245299973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245299973
Entity Type Organization
Organization Name MEDCTR INC
Practice Address 465 N Belair Rd
Suite 1a
Evans
GA 30809-3188
Practice Telephone 7068542424
Practice Fax Number 7068542425
Mailing Telephone 7068542424
Mailing Fax Number 7068542425
Enumeration Date 2006-03-21
Last Update Date 2012-05-04
Authorized Official Name MR. KYLE PULLIAM (PRESIDENT/PHARMACIST)
Authorized Official Telephone 7068542424
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 333600000X Pharmacy PHRE008412 GA Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932684032 Medctr Inc Pharmacy 170 W.milledgeville Road, Harlem, GA 30814-5125 2018-09-25

Office Location

Street Address 465 N BELAIR RD
SUITE 1A
City EVANS
State GA
Zip Code 30809-3188

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790784593 Stephen Lewis Schmidt Family Medicine 465 N Belair Rd, Suite 1c, Evans, GA 30809-3188 2005-07-14
1689145781 Ashli D Thomas Internal Medicine 465 N Belair Rd, Evans, GA 30809-3188 2018-12-16
1265885883 Clint Lanier Holton Nurse Practitioner 465 N Belair Rd, Suite 1b, Evans, GA 30809-3188 2016-07-19
1033450820 Kathryn Ricks Toburen Nurse Practitioner 465 N Belair Rd, Suite 1-b, Evans, GA 30809-3188 2013-03-05
1396010427 Bethany Joy Rudge Gilley Physician Assistant 465 N Belair Rd, Suite 1 B, Evans, GA 30809-3188 2012-03-22
1386924157 Katie Nelson, Lpc, LLC Counselor 465 N Belair Rd, Ste 2d, Evans, GA 30809-3188 2011-08-24
1154628451 Wellpull Corporation of Evans Durable Medical Equipment & Medical Supplies 465 N Belair Rd, Suite 1a, Evans, GA 30809-3188 2011-02-22
1063669315 Medequip Health Corp Pharmacy 465 N Belair Rd, 1a2, Evans, GA 30809-3188 2008-08-19
1023229887 Margo Louise Henderson Nurse Practitioner 465 N Belair Rd, Ste 2b, Evans, GA 30809-3190 2007-05-24
1457565004 Christopher Patrick Parker Pharmacist 465 N Belair Rd, Suite 1a, Evans, GA 30809-3188 2007-05-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326674060 Dominion Behavioral Health Services LLC Psychiatric Unit 817 Prairie Lane, Evans, GEORGIA 30809 2020-03-13
1710478102 Georgia Dental Professionals, PC Dentist 5131 Washington Rd, Evans, GA 30809 2018-05-22
1649770678 Angel Legare Physician Assistant 404 Town Park Blvd Ste 101, Evans, GA 30809 2018-02-16
1952829541 Felicia Evette Rhodes Home Health Aide 715 Jones Creek, Evans, GA 30809 2017-09-02
1659733582 Patricia J. Stewart Lpc, LLC Counselor 465 N. Belair Rd. Ste 2d, Evans, GA 30809 2016-03-21
1114306727 John Mccaskey Family Medicine 465 N Belair Rd Ste 1b, Evans, GA 30809 2015-05-28
1053702878 Jennifer Wahl Assistant Behavior Analyst 1135 Waltons Pass, Evans, GA 30809 2015-02-16
1609298777 Custom Pharmacy, Inc Pharmacy 1202 Town Park Lane, Suite 200, Evans, GA 30809 2014-01-09
1457797938 Perfect Health Always On Call, LLC Non-Pharmacy Dispensing Site 4244 Washington Rd, Evans, GA 30809 2013-05-11
1417207119 Tommy Battle Respiratory Therapist, Registered 101 Pond View, Evans, GA 30809 2012-09-11
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376560615 Wal-mart Stores East Lp Pharmacy 4469 Washington Rd, Evans, GA 30809-3807 2006-07-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922607662 H & W Pharmacy Pharmacy 4091 Redan Rd Ste C, Stone Mountain, GA 30083-4767 2020-10-23
1720603756 Medical-pharmacy Associates of Georgia, LLC Pharmacy 1425 Georgia Ave Ste 1, Macon, GA 31201-6546 2020-06-16
1700419454 Janus Rx Pharmacy 836 E 65th St Ste 42, Savannah, GA 31405-4496 2020-02-20
1295373702 Downtown Pharmacy LLC Pharmacy 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 2019-12-16
1750928719 Goodscript, Inc. Pharmacy 3115 Roswell Rd Ste 205, Marietta, GA 30062-7611 2019-12-09
1942844741 Genoa Healthcare, LLC Pharmacy 400 Technology Ct Se Ste J, Room P, Smyrna, GA 30082-5237 2019-11-05
1225670995 Allcare Pharmacy, LLC Pharmacy 1004 S Tennille Ave, Donalsonville, GA 39845 2019-10-14
1417598327 Connect Care Pharmacy, LLC Pharmacy 2191 Hwy 247 Connector, Byron, GA 31008-5531 2019-10-02
1467003467 Selamawit Dejene Pharmacy 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 2019-09-23
1902454721 Batts Drug Company Mansfield, LLC Pharmacy 4424 Highway 213, Mansfield, GA 30055-3211 2019-08-27
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Competitor

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City EVANS
Zip Code 30809

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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